Case Report
Hemophagocytic Lymphohistiocytosis Complicating Dengue and
Plasmodium vivax Coinfection
Table 1
Hematological and biochemical parameters.
| | | Day 1 | Day 2 | Day 3 | Day 4 | Day 5 | Day 6 | Day 7 | Day 8 |
| | Hemoglobin (g%) | 13.4 | 7.8 | 9.3 | 9.4 | 10.3 | 12.5 | 14.0 | 12.9 | | Hematocrit (%) | 38.9 | 22.5 | 26.6 | 26 | 29.4 | 37.3 | 40.0 | 39 | | WBC (×10³/cu mm) | 17.2 | 5.3 | 6.3 | 3.1 | 7.0 | 8.4 | 6.2 | 5.4 | | Neutrophils (%) | 25.9 | 45.5 | 53.7 | 70.3 | 84.1 | | 79 | 75 | | Lymphocytes (%) | 70.3 | 47.5 | 40 | 25.3 | 8.7 | | 17 | 20 | | Platelets (×10³/cu mm) | 80 | 62 | 74 | 69 | 78 | 138 | 258 | 229 | | PT (seconds prolonged) | | 7 | 6 | 0 | | | 8 | 2 | | aPTT (seconds prolonged) | | 7 | 37 | 12 | | | 2 | 2 | | Fibrinogen (150–350 mg/dL) | | 160 | 135 | | | | | 225 | | ALT (<43 IU/L) | 1283 | 684 | 865 | 546 | 486 | 343 | 284 | 291 | | AST (<43 IU/L) | 37 | | | | | | 64 | | | ALP (<147 IU/L) | 1974 | | | | | | | | | Bilirubin (<1.0 mg/dL) | 8.3 | 5 | 5.1 | | | 3.8 | | | | Albumin (3.5–5 g/dL) | 4.4 | 3.2 | 3.3 | | | 4.6 | 4.1 | | | Urea (10–50 mg/dL) | 75 | 52 | 45 | 90 | 39 | 36 | 42 | | | Creatinine (<1.2 mg/dL) | 1 | 0.9 | 0.4 | 1.0 | 0.8 | 0.8 | 0.9 | | | Na+ (135–145 meq/L) | 129 | 137 | 135 | 133 | | 135 | 144 | | |
K+ (3–5 meq/L) | 5.6 | 4.3 | 4.0 | 3.2 | | | 4.5 | | | Calcium (8–10 mg/dL) | 9.6 | 7.9 | 8.6 | 7.0 | 7.2 | 6.8 | 8.1 | 9.1 | | Amylase (30–110 U/L) | 175 | 260 | 230 | | | | | | | Serum lipase (<50 IU/L) | | | | | | 74.6 | | | | Creatinine kinase (<190 IU/L) | | 1668 | 1355 | | | | | | | Serum LDH (225–450 IU/L) | 123 | 535 | | | | | 60 | | | Troponin T (by ICT) | Negative | | | | | Negative | | |
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PT, prothrombin time; aPTT, activated partial thromboplastin time; ALT, alanine transferase; AST, aspartate transferase; ALP, alkaline phosphatase.
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